Individual
DR. DUSTIN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-8989
Mailing address
PO BOX 100264, GAINESVILLE, FL 32610-0264
(352) 273-5199
(352) 392-6781
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
025585
ZZ
207Y00000X
Otolaryngology Physician
Primary
ME144781
FL
Other
Enumeration date
03/01/2020
Last updated
06/08/2020
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